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See a sample rate comparisonCPT 37247 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Trluml Balo Angiop Addl Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Each Additional Artery List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | XU - Unusual Non-Overlapping Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $599.21 national non-facility rate (2026) · View Medicare rates for 37247 |
| Medicaid Fee Schedule | $468.37 median of the 8 states in the free preview · View Medicaid rates for 37247 |
National average reimbursement for CPT 37247 by major payers:
$834.04
$1,066.33
$955.83
$328.78
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CPT 37247
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$1,831.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd. D/B/A The Outpatient Cent
The Outpatient Center Of Boynton Beach, Ltd.
$566.00Published rateUPMC Hamot Surgery Center, LLC
UPMC Hamot Surgery Center, L.L.C.
$212.00Published rateCentral Ohio Endoscopy Center, LLC
Central Ohio Endoscopy Center LLC
$126.00Published ratePhysicians' Surgery Center, LLC
Physicians Surgery Center, L.L.C.
$62.00Published rate
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See a sample payer proposalCPT 37247 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 37247 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 37247 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 37246-CPT | High | Trluml Balo Angiop 1st Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Initial Artery |
| 37247-CPT | Moderate | Trluml Balo Angiop Addl Art, Transluminal Balloon Angioplasty Except Lower Extremity Artery Ies For Occlusive Disease Intracranial Coronary Pulmonary Or Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Artery Each Additional Artery List Separately In Addition To Code For Primary Procedure |
| 37248-CPT | High | Blood Vessel Procedure, Angioplasty Is A Procedure To Open A Narrow Or Clogged Blood Vessel Of The Heart. A Balloon-Tipped Catheter Is Inserted To The Site Or Narrowing Or Blockage. The Balloon Is Inflated To Open The Artery And Restore Blood Flow Then Deflated And Removed. |
| 37249-CPT | Moderate | Trluml Balo Angiop Addl Vein, Transluminal Balloon Angioplasty Except Dialysis Circuit Open Or Percutaneous Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty Within The Same Vein Each Additional Vein List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 37247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 37247 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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